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PCT £22bn hospital spending hike revealed

6 March 2013

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Primary care trust (PCT) spending increased from £69 billion to £91 billion in real terms over the past ten years, although spending on primary care dropped. 
According to a report released by independent healthcare think tank Nuffield Trust, between 2003/04 and 2011/12, spending on primary care as a proportion of overall spending dropped by 2%. 
“The real terms decline in spending on primary care is disappointing but not surprising,” said Dr Mark Porter, British Medical Association (BMA) chair. 
“Investing in community care and GP services would be hugely beneficial to patients and do much to relieve pressure on the hospital sector.”
GP services
The Anatomy of Health Spending 2011/12 shows that although spending has increased in general, the amount spent on GP services has been static since 2005. 
“This report shows clearly that, for all the rhetoric, money is still moving into hospitals, not out of them,” said co-author and Nuffield Trust Chief Economist Anita Charlesworth
“At the same time, however, we should recognise the success of PCTs in moving some care into the community,” 
The proportion of hospitals in deficit has risen steadily over the last four years, according to the report. 
Last year 32 trusts out of 250 were in deficit and nine reported a deficit for over three years. 
Dr Peter Carter, chief executive and general secretary of the Royal College of Nurses (RCN) said: “We are concerned about the mixed picture of some trusts being financially healthy while others are consistently on the edge. 
“Nurses will be very worried that hospital trusts which have to focus on finance may struggle to maintain good, quality care.” 
2011/12 was the only year PCTs did not spend all the money allocated for commissioning. 
However, the report claims this is because in 2011/12 learning difficulties provision was transferred from PCTs to local authorities.